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Physician Relocation Costs: What to Expect and How to Budget

Relocating as a physician is often tied to some of your most exciting career milestones—starting residency, beginning a fellowship, or stepping into your first attending role. But amid the anticipation of a new job and a fresh start, doctor relocation brings another reality: it can be surprisingly expensive.

Between licensing, housing, travel, and everyday logistics, many early-career doctors find themselves underestimating the true cost of a move. When you’re also transitioning into a full-time salary and possibly supporting a family, the pressure to get it right intensifies.

This guide is designed to help physicians understand the full scope of relocation expenses, spot the hidden costs, evaluate employer relocation packages, and build a smart budget that sets you up for success in your new city.

Understanding the Full Scope of Physician Relocation Costs

Relocating isn’t just a matter of boxes and movers. It’s a multi-step financial process that involves careful planning and awareness of what’s ahead.

Common Expenses You Should Anticipate

At the baseline, there are the costs everyone expects. Hiring professional movers, purchasing packing supplies, and covering the cost of transporting your household belongings all add up quickly, especially if you’re relocating cross-country.

You’ll also need to account for travel: flights or fuel for your vehicle, meals on the road, and lodging along the way. Once you arrive, there may be a gap between your arrival and the availability of your permanent housing. Temporary accommodations, like extended-stay hotels or short-term rentals, often come with a premium.

Finally, don’t overlook the small stuff: setting up utilities, paying deposits, or transferring services (internet, cell phones, etc.) all carry their own fees.

Home Buying and Market Realities

If you’re purchasing a home as part of your physician relocation, the costs can balloon quickly, especially if you’re unfamiliar with the regional housing market. Cities vary widely in home prices, inventory, and mortgage qualification standards.

Beyond the purchase price, plan for inspections, appraisals, title fees, closing costs, and moving-related upgrades. Even if your income qualifies you for a large mortgage, it’s wise to pause and ask whether you’re ready to put down roots or if renting first might give you more flexibility.

Your specialty, income stability, and length of employment contract can also influence mortgage pre-approval and the kind of loan terms you’re offered.

Hidden Costs That Add Up Quickly

Physician relocation comes with plenty of hidden expenses that aren’t always obvious in the initial planning stages.

Cost of Living Changes in a New City

A move from the Midwest to the coast—or even from one urban center to another—can drastically affect your monthly budget. Housing is the most visible cost, but groceries, gas, insurance rates, and even parking can vary widely between cities.

To get a sense of what to expect, use cost-of-living calculators and research housing prices in your target area. Even if your new salary is higher, your purchasing power might not stretch as far as it used to.

Daycare, Schools, and Educational Needs

If you have children or are planning to start a family soon, educational expenses should be a central part of your physician relocation planning. Daycares often have long waitlists, and high-demand schools may have application deadlines, fees, or specific enrollment zones.

Additionally, budget for hidden costs like uniforms, extracurricular activities, supply lists, and transportation. These expenses can influence where you live, how much you need to budget, and what kind of support system you’ll require in your new city.

PRS helps physicians create customized financial plans that account for moving costs, new expenses, and long-term goals. Explore our financial planning solutions and learn how we can help make your transition smooth and financially sound.

Our Planning Solutions

Understanding Employer-Provided Relocation Benefits

Most physicians negotiating new contracts will encounter some form of relocation assistance, but the structure and value of these benefits can vary.

What’s Typically Offered

Employers may offer a lump sum payment, reimburse specific expenses, or directly bill vendors (like moving companies) on your behalf. Common inclusions are professional movers, temporary housing, travel expenses, and lease break fees.

However, the amount and terms of these benefits differ widely. Some may be generous, while others only partially cover your costs.

What to Ask and Negotiate

Before signing your contract, clarify what’s covered and what isn’t. Ask whether home-finding trips, license transfers, storage fees, or partner job support are included.

Be sure to ask whether taxes will be withheld from a lump sum benefit—this can significantly reduce the actual amount you receive. Having these details in writing ensures fewer surprises once the move is underway.

Tax Implications That Impact Your Budget

Relocating often means crossing state lines, which can introduce entirely new tax situations that directly affect your net income.

State Income Taxes and Withholding Differences

Moving from a state with no income tax (like Texas or Florida) to one with higher tax rates can shrink your take-home pay, even if your salary increases. Conversely, moving to a no-tax state may give you unexpected breathing room in your budget.

It’s important to run a new income projection based on your relocation state’s tax structure to understand the real impact of your salary.

Deductions and Reimbursement Considerations

Since 2017, moving expenses are no longer tax-deductible for most taxpayers. However, employer-paid doctor relocation benefits may still need to be reported as income, depending on how they’re structured.

Keep thorough records of your relocation expenses, especially if you’re receiving reimbursement. A financial advisor can help you understand which documents to retain and how to plan for any tax implications.

Budgeting Tips for a Smooth Financial Transition

Physician relocation doesn’t have to derail your finances. With a thoughtful plan and a bit of restraint, you can move with confidence and stay on budget.

Build a Relocation-Specific Budget

Start with a detailed list of expected costs. Break them down by category: movers, travel, housing, fees, temporary expenses, and so on. Then add a contingency buffer—relocation almost always costs more than anticipated.

It’s easy to overlook small expenses like shipping delays, extra pet boarding days, or last-minute supply runs. Building room into your budget helps you avoid stress when the unexpected hits.

Avoid Overspending During the Transition

It’s tempting to buy a new car, upgrade your furniture, or celebrate the move with a vacation, but hold off until you’re settled and financially stable. Focus on minimizing major lifestyle changes until you’ve had a chance to reassess your post-move expenses and cost of living.

By maintaining a conservative financial approach, you create space to make more strategic decisions once you’re grounded in your new role.

Start Your New Role on Solid Financial Ground

Once you arrive and settle in, update your monthly budget based on local costs. Use budgeting tools or simple spreadsheets to keep track of your spending during the transition.

Revisit your long-term financial plan once the dust settles. If your new salary and cost of living have changed significantly, it’s worth working with a financial advisor to re-map your goals.

Relocate With Confidence, Not Guesswork

Physician relocation involves more than changing your address. It’s a major financial decision that can shape your early career and long-term stability. From housing and healthcare to cost-of-living shifts and school-related expenses, unexpected costs can quickly add up if you’re not prepared.

With the right plan, realistic expectations, and professional guidance, you can relocate with confidence and protect your financial progress. Physician’s Resource Services helps doctors create personalized relocation budgets and evaluate job offers with clarity.

Ready to take the guesswork out of your move? Schedule a consultation with PRS and step into your next chapter fully prepared.

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Robin Bales – AGENT

Robin has owned a Commercial Leasing Company providing financing to doctors and other operators for their equipment beginning in 2007. After the global crash of 2008, she went to work for NYL and spent 3 years there working with other entrepreneurs securing their retirement future and safeguarding their personal asset risks. Robin opened her own agency in 2017 Legacy by Design and has run a national firm coast to coast with 50-70 agents. Today the agency is much smaller serving 5 agents who share the same vision and passion for our clients focusing on health insurance, Medicare, and annuities.

Robin is most connected to ethos of PRS mission to improve the lives of doctors and their families. Supporting those who run the leading infrastructure of our country.

Robin has been married for 22 years to her husband Steven. Together they have 3 girls and have built a family with strong values and commitment to each others successes. Robin’s family are home bodies by nature and enjoy their 3 dogs hanging in living room or kitchen.

Karli Allen – HEAD OF WEALTH MANAGEMENT

Karli is a graduate of The Master’s University in Santa Clarita, CA, and has a business degree with emphases in accounting, finance, and management. Karli has been in the financial services industry since 2014 and joined the PRS team in 2018.

Karli oversees investment and financial planning operations and assists with the onboarding and service of the firm’s advisory clients.  Karli was a key part of our firm’s custodial transition to Fidelity in 2019 as part of our decision to become an independent investment advisory firm.  Before joining PRS, Karli worked in personal financial planning in Orange County, California.  She also holds a FINRA Series 65 license. Karli is grateful to be a part of such an amazing team.

Outside of work, Karli enjoys traveling, playing golf, and spending time with her husband and their goldendoodle.

Gabriela Chavez – ANALYST

At Physicians Resource Service Gabby plays a pivotal role in Paul’s advisory team, staying in close contact with clients, driving business development, and lending a hand in daily operational tasks. Additionally, she collaborates with CPA Erin Anderson to prepare tax returns, conduct withholding reviews and undertake various tasks across the division.

Gabby is currently double-majoring in accounting and finance at the University of the Incarnate World in San Antonio, and she plans to sit for her Certified Financial Planning exam in the fall of 2022. Before transferring to UIW, she attended the University of Texas Rio Grande Valley in Edinburg, Texas. Gabby was born in Germany and is Mexican American. She loves to travel and has visited 11 different countries. She has a five-year-old pug named Penny.

Chris Fullbright – FINANCIAL ADVISOR

Chris brings experience in financial services and the perspective of a successful entrepreneur who has launched several businesses. With over a decade in the industry, he has served as both an advisor and in a management role coaching new advisors. Chris attended the University of Georgia and Texas State University and graduated with a Bachelor of Applied Arts and Sciences.

He currently holds many financial services licenses and designations including FINRA Group One, Series 6, Series 63, Series 65, Series 7, ARPC, and Certification in Long Term Care (CLTC). In his free time he enjoys being involved in the local community through organizations such as Comfort Crew for Military Kids. Chris is also an active member of Austin Christian Fellowship Church, and enjoys spending time there as well as reading, fishing, and going to sporting events. He is happily married to Monique with two wonderful sons. In addition to serving physicians, Chris specializes in working with special needs families.

Kevin Burris – PARAPLANNER

Kevin received his BA and MBA from Indiana University, earned the Certified Financial Planner (CFP) designation from the University of Georgia, and Retirement Income Certified Professional (RICP) designation from the American College. Kevin is looking forward to helping physicians live their best life. Kevin enjoys spending time on the lake with his wife, playing golf, and watching Indiana University sports.

Michael Kohles – AGENT

Michael attended Lake Michigan College and Siena Heights University, graduating magna cum lade with a Bachelor of Business Administration, with a major in Finance and minor in Marketing. Michael has been in the financial services industry since 2015 and has experience with multiple insurance verticals. Michael is excited to help physicians achieve their financial goals by providing insurance solutions. Michael is married to Erin and has 4 children. Michael also enjoys reading, golfing, playing poker, learning, and traveling.

Erin Kohles – UNDERWRITING PROCESSOR

Erin supports our advisors and clients during the insurance underwriting process in multiple ways. On a given day, she helps by processing applications, tracking and following up on open cases, and answering client questions. She appreciates the part she plays in helping clients prepare for the future, and she strives to make the process as simple and efficient as possible.

Erin has been in the insurance industry for two years and brings with her six and eight years of experience in accounting and quality control, respectively. She graduated from Ball State University and has her life & health and property & casualty insurance licenses. In her free time, she enjoys cheering on her two boys who play basketball, soccer, and baseball; traveling with her husband; and playing with their Yorkie, Mingo.

Erin Anderson – CERTIFIED PUBLIC ACCOUNTANT

As a certified public accountant, Erin is a valuable part of our tax division at PRS. She enjoys working with our advisors to develop tax-efficient strategies, and she strives to provide clarity for every client she serves. Erin started her career as an accountant after graduating from Oklahoma State University in 2012 with a master’s degree. She earned her CPA license in 2018. Erin and her husband have two little boys, and they love spending time outdoors as a family and watching OSU football.

Alex Simmons – BUSINESS DEVELOPMENT

Alex oversees Business Development at Physician’s Resource Services. She works with each department to assist in continually improving PRS so we remain a leading competitor in the industry. Alex graduated from Texas Tech University with a Bachelor of Business Administration in Energy Commerce. She is a Texas native who loves to spend her free time traveling and taking her pup, Teddi, to the dog park.

Jennifer Khan- UNDERWRITING SPECIALIST

Jennifer is an Underwriting Specialist at Physician’s Resource Services, with an extensive background in customer service and administration. Jennifer grew up in Texas, graduated from Southeast Missouri State University with a BFA in Theatre, and spent six years in Chicago performing sketch and improv. She is a graduate of the Conservatory Program at The Second City and iO Chicago. Jennifer and her husband, Qamar, moved to Texas with their dachshund mix, Dobby, to be closer to family, sunshine, and good BBQ.

Cheryl Breeden – OFFICE MANAGER

Cheryl is the Business Manager for the firm and a licensed service assistant. She graduated from the University of Texas at Austin with a Bachelor’s Degree in Business Administration. She has years of experience in the areas of process management, customer service, benefits, and insurance. Cheryl has three girls — Ashley, Hannah, & Olivia. She brings this experience to our firm where she manages the underwriting and service process. She also manages the business operations for the firm.

John C. Jackson IV – ASSOCIATE FINANCIAL CONSULTANT

John is an agent from Austin, TX, a graduate of Westlake High School and The University of Texas at Austin, with a Bachelor’s Degree in Economics and a Minor in Business Administration. While at UT, John was a 2-Time Captain and 4-Time All-Conference performer for the men’s lacrosse team. While away from the office, John coaches with the Westlake Youth Lacrosse program and volunteers with Austin’s Young Men’s Business League, and Austin Sunshine Camps.

Paul Smith, CFP® ChFC® MSFS – FINANCIAL ADVISOR

Paul has helped his clients in financial, business, and estate planning for over 10 years. Paul is a graduate of Texas State University, with a Bachelor’s Degree in Psychology. He has also completed the extensive studies necessary to earn the Certified Financial Planners (CFP®) and Chartered Financial Consultant (ChFC®) designations. Paul is actively involved in the community through his volunteer work and service on Community Action Board for the Helping Hand Home for Children. Paul is married to Heather and they have two children, Nyla and Hazel.

Richard Cunningham – MANAGING DIRECTOR

For 30 years, Richard has been helping clients reach their financial goals with sincerity and integrity. He works with GME program administrators, individual physicians and their families to help doctors achieve financial security. Richard is a graduate of the University of Texas at Austin, with a Bachelor’s Degree in Economics. He studied in Paris at the Sorbonne. Richard supports numerous charitable organizations, is actively involved in Austin Recovery, and he participates in the Leukemia Lymphoma Society as a survivor of CML. Richard is married to Adrienne with two children, Raven and Coates.